保定市散居儿童手足口病危险因素的病例对照研究  

Case-control study on risk factors of hand-foot-mouth disease among scattered children in Baoding City

作　　者：王磊[1] 王春艳[1] 陈妍[1] 祖文刚[1] 田斌[1] 

机构地区：[1]保定市疾病预防控制中心流行病科,河北保定071000

出　　处：《职业与健康》2016年第13期1819-1821,共3页Occupation and Health

基　　金：河北省卫生厅医学科学研究重点课题(20150407)

摘　　要：目的通过了解散居儿童手足口病发病危险因素,为今后控制手足口病提供科学依据。方法采用病例对照的方式,选择114例散居确诊病例和126例健康儿童进行回顾性问卷调查,找出手足口病相关的危险因素。采用SPSS 17.0软件的logistic模型找出手足口病的危险因素。结果家庭中有其他托幼机构儿童、照看人近期接触过手足口病的患者、儿童吃东西前不洗或少洗手为散居儿童手足口发病危险因素,照看人知道传播方式为保护因素(OR=4.477、17.883、1.449和0.014,均P<0.05)。结论加强托幼机构儿童手足口病例管理,提高照看人关于手足口病隐性感染等传播方式知晓率,注意手卫生和良好行为习惯的养成,促成家庭-托幼机构联合防控体系,是预防散居儿童手足口病的关键。[Objective] To analyze the risk factors of hand-foot-mouth disease （HFMD） in scattered children, provide scientific evidence for the prevention and control of HFMD in the future. [Methods] By using the case-control study, a retrospective questionnaire survey was performed among 114 confirmed cases of scattered children and 126 healthy children, to analyze the risk factors of HFMD. The risk factors of HFMD were investigated with the Logistic module in SPSS 17.0 software.[Results] The risk factors of HFMD included the other kindergarten children in family, keeper contacted with the HFMD cases recently, and not or not often washing hands before meals, while the keeper knowing knowledge about the transmission modes was the protective facto r （OR value was respectively 4.477,17.883,1.449 and 0.014,P〈0.05）. [Conclusion] To strengthen the management of kindergarten child cases with HFMD, to improve keeper＇s awareness rate of inapparent infection on HFMD, to pay attention to the hand hygiene and formation of good habits, and to promote the joint prevention and control system of familykindergarten are the keys to prevent the HFMD among scattered children.

关 键 词：手足口病 散居儿童 危险因素 

分 类 号：R181.3[医药卫生—流行病学]